Contract Pharmacy Details

ANCHOR DRUGS
CH09114L SAN MATEO MEDICAL CENTER

Covered Entity Details

Entity Name

SAN MATEO MEDICAL CENTER

Subdivision Name

FAIR OAKS FAMILY HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH09114L

Entity Address

2710 MIDDLEFIELD ROAD
REDWOOD CITY, CA 94063

Grant Number

H80CS00051

Participating Start Date

10/1/2001

Last Recertification Date

3/5/2025

Pharmacy Details

Pharmacy Name

ANCHOR DRUGS

Pharmacy Address

161 S SPRUCE AVE
SOUTH SAN FRANCISCO, CA 94080

Pharmacy Comments

Contract Details

Approval Date

4/15/2015

Contract Begin Date

7/1/2015

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

SUSAN EHRLICH, CEO
(650) 573-2041

Contract Pharmacy Representative

Raymond Jajeh, President
(650) 360-5300

Signed By Date

4/15/2015